Individual
KAILYNN MARIE DOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, AT/L
Contact information
Practice address
54 SENTINEL DR, STEILACOOM, WA 98388-1663
(253) 226-9735
Mailing address
3615 CRESTVIEW DR W, UNIVERSITY PLACE, WA 98466-2017
(253) 226-9735
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
60410972
WA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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